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Pancreatic function in chronic inflammatory bowel disease.

G Angelini1, G Cavallini, P Bovo

  • 1Istituto di Clinica Medica, Università di Verona, Italia.

International Journal of Pancreatology : Official Journal of the International Association of Pancreatology
|March 1, 1988
PubMed
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Pancreatic impairment is common in chronic inflammatory bowel disease (CIBD). This study found lipase deficiency in many patients, suggesting pancreatic assessment is important, especially for Crohn

Area of Science:

  • Gastroenterology
  • Internal Medicine
  • Digestive Diseases

Background:

  • Chronic inflammatory bowel disease (CIBD) encompasses conditions like ulcerative colitis and Crohn's disease.
  • Pancreatic involvement in CIBD is not fully understood but can impact nutrient absorption.
  • Assessing pancreatic function is crucial for comprehensive CIBD management.

Purpose of the Study:

  • To determine the prevalence and clinical importance of pancreatic dysfunction in CIBD patients.
  • To investigate exocrine and endocrine pancreatic function in individuals with ulcerative colitis and Crohn's disease.

Main Methods:

  • Prospective evaluation of 27 CIBD patients.
  • Secretin-cerulein test and oral glucose tolerance test (OGT) for pancreatic function assessment.

Related Experiment Videos

  • Indirect immunofluorescence (IFL) to detect autoantibodies against pancreatic tissues.

    • Main Results:

    • 11 out of 27 patients showed bicarbonate and/or enzyme insufficiency.
    • 18 patients exhibited isolated lipase deficiency.
    • No significant differences were observed in OGT or IFL results between patients and controls.

    Conclusions:

    • Pancreatic impairment occurs more frequently in CIBD than previously recognized.
    • Reduced lipase secretion may exacerbate malabsorption in Crohn's disease.
    • Pancreatic function evaluation is recommended for CIBD patients, particularly those with steatorrhea.